Individual
DR. BHARAT K KOTADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1822 ARLINGTON LN, GLENDALE HEIGHTS, IL 60139-1309
(630) 871-7265
(630) 682-3353
Mailing address
1822 ARLINGTON LN, GLENDALE HEIGHTS, IL 60139-1309
(630) 871-7265
(630) 682-3353
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222589
BLUE CORSS/BLUE SHIELD IL
IL
Enumeration date
07/29/2006
Last updated
12/20/2007
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